Individual
REBECCA LEITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
12101 SHELBYVILLE RD, LOUISVILLE, KY 40243-1044
(502) 446-5555
(502) 394-3671
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009945
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300005060
—
IN
05
—
7100437830
—
KY
Enumeration date
01/25/2016
Last updated
04/16/2024
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